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, � CHECR OFF LIST FOR ISSUANCE OF PERMITS <br /> FOR OFFICE USE ONLY <br /> ADDRBSS OR LEGAL: � ���� ���"%° /�"C`�r.� �C d PID: �O-�/ 7 � a 3 � Y �`��� <br /> DESCRIPTION OF WORR: j � , l;(�''T .�� �'`�-�-,cLC C�1" �>�z�i�v� _ <br /> ---------------------------------- ---------- <br /> ---------------------------------- <br /> ZONING REVIEW BY: ��i1�-- DATE APPROVED: `0 ' `�'- `? y <br /> BIIILDING REVIEW BY: � �.- DATE APPROVED: /U �-�/ y <br /> FEES TO BE CHARGED: Misc. Fees Ca�culated By: <br /> PERMIT Yes �No <br /> PLAN REVIEW Yes f No SEWER CONNECTION <br /> STATE SURCHARGE Yes � No WATER CONNECTION <br /> INVESTIGATION FEE Yes No PARK FEE <br /> SAC Yes No SITE INSPECTION <br /> Number of SAC Units OTHER (specify) <br /> ----------------------------------------- -------------------------------------- <br /> ZONING CHECR LIST Z nin District: <br /> Fire Department: Post Off ce: Schoo]. District: <br /> Lot Area: Width: De h: <br /> �\ <br /> Survey Submitted. es No ate o Surv <br /> Proposed Setbac s: <br /> Front (Lak ) : Right Sid : <br /> Rear (Str et) : Left Si e: <br /> Adjacent Struct res : Wetland: % . <br /> --7__ <br /> Bui�ding Heig t: De . Hgt. Peak Hgt. <br /> Avg. Setback Lot Coverage: <br /> xisti Proposed <br /> Hardcover: -75 ' <br /> 7 -250 ' <br /> 2 0-500 ' <br /> 500-1000 ' <br /> Hardcov Variance Re ired: es No Date of Council Approval : <br /> Grading. Staff Approv Date: By: Council Approval Date: <br /> Septic Staff Approva Date : By: <br /> Zonin Fi�e: # Resolution # : Resolution Date: <br /> REMARRS (in house) : <br />